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The lungs are hyperinflated with increased ap diameter, compatible with copd. There is no focal consolidation, pleural effusion, or pneumothorax. Heart size and mediastinal contours are stable. Degenerative changes of the thoracic spine are moderate but there is no compression deformity. Imaged portion of the right humerus is intact.
<unk>f with fall. evaluate for traumatic injury.
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The patient is status post median sternotomy with intact median sternotomy wires and aortic valve replacement. Cardiac silhouette appears mildly enlarged but stable. Otherwise, the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. Mild scarring is noted at the lung apices. Degenerative changes are visualized throughout the thoracolumbar spine.
evaluation of patient with complex medical history with cough and night sweats.
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Pa and lateral views the chest provided. There is no focal consolidation or signs of edema. Hila appear mildly congested. The cardiomediastinal silhouette is normal. Bony structures are intact.
<unk>m with abnormal stress test and exertional chest pain
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
history: <unk>m with cough // r/p pneumonia
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Ill-defined opacity in the left lower lobe can be aspiration. The right lung is clear. The cardiomediastinal silhouette is unremarkable. No pleural effusions or pneumothorax.
<unk> year old man with new leukocytosis after egd // e/o focal opacity?
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As compared to the previous examination, the left picc line has been removed. Post-surgical changes on the right, including a small and constant right pleural effusion, no evidence of pneumothorax or other pathologic findings.
right pneumothorax, multiple chest tubes. evaluation for pleural effusion.
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Lungs are clear. No pleural effusion, pneumothorax or focal airspace consolidation. Heart is top normal. Mediastinal and hilar contours are unremarkable.
chest pain. evaluate for pneumothorax or pneumonia.
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As compared to the previous radiograph, the lung volumes have improved, likely reflecting improved ventilation and improved inspiration. Borderline size of the cardiac silhouette without pulmonary edema. Normal hilar and mediastinal contours. There is no evidence of pneumonia or other focal or diffuse lung parenchymal disease.
liver cirrhosis, questionable pneumonia.
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Left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and likely within the region of the right ventricle, however the inferior aspect of the left hemithorax is not included in the field of view. Moderate cardiomegaly persists. The mediastinal and hilar contours are similar. There is no pulmonary edema. Small to moderate size bilateral pleural effusions are demonstrated along with bibasilar airspace opacities which could reflect compressive atelectasis but infection or aspiration cannot be completely excluded. No pneumothorax is detected. There are no acute osseous abnormalities.
history: <unk>f with dyspnea
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Pa and lateral views the chest provided demonstrate clear well expanded lungs without focal consolidation, large effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.
<unk>f with cough and wheezing
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Ap and lateral views of the chest. Left chest wall single-lead pacing device is again seen. There is no overt pulmonary edema or significant change compared to prior given differences in technique. Degree of cardiomegaly is similar compared to prior. No pleural effusion. No acute osseous abnormality is identified.
<unk>-year-old male with palpitations.
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There are few calcific nodular densities identified at the right lung base laterally likely calcified granulomas. Elsewhere, the lungs are clear without consolidation, effusion or pneumothorax. Cardiomediastinal silhouette is normal. No acute osseous abnormalities identified. There is no free intraperitoneal air.
<unk>m with fever s/p upper endoscopy/colonoscopy yesterday. // rule out pneumonia, atelectasis
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Lung volumes are low. Interstitial and reticular opacities predominantly at the lung bases bilaterally is compatible with a chronic interstitial lung disease with fibrosis and honeycombing. Heart size is mildly enlarged. Mediastinal and hilar contours are unremarkable. There is crowding of bronchovascular structures without overt pulmonary edema. No focal consolidation, pleural effusion or pneumothorax is present. There are no acute osseous abnormalities. No subdiaphragmatic free air is present.
history: <unk>f with epigastric pain sudden onset with nausea/vomiting
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Pa and lateral views of the chest provided. Interval removal of the endotracheal and nasogastric tube. There is persistent consolidation in the left lower lobe which is concerning for pneumonia. Small pleural effusions bilaterally are noted, left greater than right. Heart size appears unchanged. Mediastinal contour is within normal limits. Mild hilar congestion is difficult to exclude. Bony structures are intact.
<unk>f with wheezing, copd // eval for pna, pulm edema
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There is mild central pulmonary vascular congestion. There is no pleural effusion or pneumothorax. There is no focal consolidation concerning for pneumonia. Heart size is top-normal. Mediastinal contours normal. Bony structures are intact.
<unk>f with sob, wheezing, prod cough pna.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no focal consolidation, pleural effusion, or pneumothorax. The visualized upper abdomen is unremarkable. Minimal degenerative changes of the thoracic spine are again noted and unchanged.
fever and history of pneumonia.
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal. Mild dextroscoliosis of the midthoracic spine is unchanged from the prior study. The upper abdomen is unremarkable.
<unk>f with cough, evaluate for pneumonia.
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As compared to the previous radiograph, the left chest tube has been removed. There is no pneumothorax. Unchanged mild pleural thickening and elevation of the left hemidiaphragm, combined to a small pleural effusion and known fibrotic changes on the left. The right hemithorax appears better ventilated and larger than on the previous exam. The large bullous changes at the apex are constant.
status post vats blebectomy, chest tube removal.
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There again surgical clips in the mediastinum. The heart appears mildly enlarged. There is increased prominence in the aortopulmonary window which is suggestive of enlarged left atrial appendage. On the right there is probably a trace pleural effusion. On the left, there is a small to moderate pleural effusion with associated opacity probably due to atelectasis in the posterior left lower lobe. More generally, a moderate interstitial abnormality is most suggestive of congestive heart failure. Fissures are thickened. The right hilum appears more prominent than before and in addition there is the possibility of developing focal opacity at the right lung base. Streaky opacities in the lingula appear unchanged suggesting background scarring and mild volume loss, as depicted on prior studies.
shortness of breath.
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The lungs are well expanded and clear. There is no pneumothorax or pleural effusion. Cardiomediastinal silhouette is unremarkable. Multiple surgical clips are seen overlying the left upper quadrant.
bilateral lower extremity swelling.
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Frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. Hilar and mediastinal silhouettes are unremarkable. Heart size is normal. There is no pulmonary edema. Partially imaged upper abdomen is unremarkable.
dyspnea.
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The lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.
history: <unk>m with orif of calcaneus <num> weeks prior, pre-op xray rule out infeciton // evidence of infection
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Lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. There is no pulmonary edema. The cardiac and mediastinal silhouettes are unremarkable. Osteophytes are seen along the spine. Surgical clips are seen in the right upper abdomen.
palpitations.
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Pa and lateral views of the chest were reviewed and compared to the prior studies. The overall volume of a moderate right hydropneumothorax is unchanged, but the fluid component has progressively increased since <unk>. Right lung atelectasis is unchanged and the left lung is clear. Chronically engorged pulmonary vessels and a moderately-enlarged heart are unchanged. No pulmonary edema or left sided pneumothorax.
pleural effusion.
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Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. Several myelomatous lesions within the thoracic cage and spine are better seen in prior ct
<unk> year old man with a history of mm and copd now with cough and decreased breath sounds on the left.
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The lungs are well inflated and clear. The cardiomediastinal silhouette is stable. There is no pleural effusion or pneumothorax. Visualized upper abdomen is unremarkable.
dyspnea, evaluate for acute cardiopulmonary disease.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. There is no focal consolidation, vascular congestion, effusion, or pneumothorax. A nodular opacity in the right lower lung likely represents a calcified granuloma.
chest pain. evaluate for edema, effusion, or cardiomegaly.
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Pa and lateral views of the chest provided. Lung volumes are low. There is mild left basal opacity which is more compatible with atelectasis though difficult to exclude a subtle pneumonia. Otherwise lungs are clear. No large effusion or pneumothorax. Cardiomediastinal silhouette is unchanged. Bony structures appear intact.
<unk>m with fatigue x <num>d // pna
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A right-sided chest drain is in-situ, unchanged in position compared to the prior study. The previously demonstrated pneumothorax has now resolved. Lung volumes are within normal limits. The trachea is central. The cardiomediastinal contour is normal. There is left lower lobe consolidation versus atelectasis. No pleural effusion seen.
<unk> year old man with ptx // ptx; please schedule for <num>am today
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Cardiomediastinal silhouette and hilar contours are unchanged from immediate prior exam. The left moderate to large pleural effusion is slightly increased in size with associated atelectasis and either fluid tracking up the left major fissure or bandlike atelectasis present in the left mid lung. The right lung is clear. There is no pneumothorax.
pericarditis, pericardial effusion and pleural effusion.
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Cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No pleural effusion or pneumothorax is present. There are no acute osseous abnormalities.
weakness, numbeness, near-syncope.
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The heart is moderately enlarged. The aorta is mildly tortuous. The mediastinal and hilar contours are otherwise unremarkable. The lung volumes are low. Within the limitations of technique, the lungs appear clear. There is no pleural effusion or pneumothorax.
shortness of breath.
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The small left pneumothorax seen on the prior ct is appreciated as a subtle lucency at the apex of the left lung. The nondisplaced rib fractures seen on the chest ct are not appreciated on the current radiograph. Heart size and mediastinal contours are normal. There is no pleural effusion.
<unk>m with left sided ptx on ct from <unk> // ?enlargement ptx seen on ct
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Pa and lateral views of the chest. This exam is somewhat limited due to patient body habitus. The lungs are well expanded and appear clear. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is top normal in size.
chronic pain with worsening chest /abdominal pain.
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Frontal and lateral views of the chest. No pleural effusion, pneumothorax, or focal airspace consolidation. Cardiac size is mildly enlarged, but unchanged. Mediastinal and hilar structures are stable.
fever, abnormal breath sounds. evaluate for an acute process.
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The heart size is normal. The lungs are clear without evidence of focal consolidations concerning for pneumonia. There is no pleural effusion or pneumothorax. The hilar and mediastinal contours are unremarkable, with stable contour of the aorta compared to the exam from <unk>. Note is made of new calcification along the descending thoracic aorta.
history of productive cough. please evaluate for pneumonia.
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Pa and lateral views of the chest. The lungs are clear of consolidation or effusion. Enlarged cardiac silhouette and prominence of the main pulmonary artery contour are again noted. No acute osseous abnormality detected.
<unk>-year-old female with chest pain and fever.
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In comparison with the most recent study of <unk>, there is little change in the appearance of the heart and lungs. Cardiac silhouette is within normal limits and there is no evidence of vascular congestion, pleural effusion, or acute focal pneumonia.
followup pneumonia.
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Nodular opacity projecting over the lower lung fields, symmetrically bilaterally, are likely due to nipple shadows; this can be confirmed with repeat with nipple markers. Otherwise, no focal consolidation, pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable.
<unk>f with neutropenic fever // acute process?
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Cardiac, mediastinal and hilar contours are within normal limits. Patient is status post left lower lobe wedge resection with unchanged scarring in the left perihilar region. Pulmonary vasculature is normal. No concerning focal consolidation, pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with fall and syncopal episode, left sided chest pain, midline thoracic spine tenderness
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Frontal and lateral views of the chest are compared to previous exam from <unk>. The lungs are hyperinflated, but clear of confluent consolidation. There is no pleural effusion. Cardiomediastinal silhouette is stable. Callus formation seen surrounding multiple left-sided posterior rib fractures. Mid thoracic compression deformity is again seen.
<unk>-year-old female with lower extremity edema, question fluid overload.
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Increased retrocardiac density suggesting moderate hiatal hernia, unchanged in appearance since <unk>. There are no discrete opacities in the lungs, which are worrisome for pneumonia. There is no pleural abnormality. The tip of a left picc line is approximately at mid svc. No pneumothorax or pleural effusion. Top normal heart size, mediastinal and hilar contours are unchanged.
history of aml, clostridium difficile colitis and ulcerative colitis suspicious for pneumonia.
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The cardiomediastinal and hilar contours are within normal limits. The lungs are clear of consolidation; subtle bibasilar opacities likely reflect overlying breast shadows. Streaky atelectasis or scarring is present at the right lung base. There is no pleural effusion or pneumothorax.
<unk>-year-old female with bilateral leg swelling and pleuritic chest pain.
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Lungs are clear. Pleural surfaces are clear without effusion or pneumothorax.
persistent cough, at times blood tinged.
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Cardiomediastinal silhouette is normal. There is no focal lung consolidation. Opacity at the left costophrenic angle, likely represent scarring. There is no pleural effusion or pneumothorax. There is no overt pulmonary edema.
<unk>-year-old man with syncope evaluate for pneumonia.
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Pa and lateral views of the chest provided. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
history: <unk>m with cough // eval heart and lungs
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There is a <num> x <num> cm focal, oval opacity at the base of the right lung, which most likely represents evolution of a lytic rib lesion, now with increased sclerosis. The heart is mildly enlarged and the hilar contours are normal. The pleural surfaces are clear without effusion or pneumothorax. Also seen is a partial vertebroplasty along the right side of a lower thoracic vertebral body, unchanged in appearance.
multiple myeloma and chemotherapy, presents with increasing cough.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. Heart size is normal.
history: <unk>f with chest pain // chest pain
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The cardiac, mediastinal and hilar contours are normal. Pulmonary vascularity is normal. <num> mm nodular opacity projecting over the right <num>nd rib anteriorly is unchanged. Lungs are clear otherwise without focal consolidation. No pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized.
cough.
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Pa and lateral chest radiographs. The lungs are clear. There is no pleural effusion or pneumothorax. Bilateral breast implants are visible on the lateral view.
chest pain and shortness of breath.
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A left pectoral pacemaker/ defibrillator is in unchanged position. The cardiomediastinal and hilar contours are stable demonstrating mild cardiomegaly. There is mild to moderate pulmonary vascular congestion and interstitial pulmonary edema. Small pleural effusions.
history: <unk>m with hypoxia // eval heart and lungs
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There is no focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. There are no diminutive pulmonary vessels.
sinus tachycardia with planned v/q scan.
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There is a small fan-like opacity seen in the peripheral right middle lobe most likely representing a bronchopneumonic infiltrate. The remainder of the lungs are well inflated and clear bilaterally. There is no pleural effusion. The cardiomediastinal silhouette is within normal limits. The pleural surfaces are unremarkable.
<unk>-year-old male with recent pulmonary embolism, complains of hemoptysis.
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The lungs are well expanded, without focal parenchymal opacity to suggest pneumonia. Healed fractures of the anterior left third and fifth ribs are redemonstrated. A focal opacity projecting over the left mid lung anteriorly is compatible with radiation changes seen on prior chest ct. The cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with persistent fever and cough. evaluate for infiltrate.
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Multiple right and left apical focal opacities correlate with lung parenchymal scarring seen on <unk> chest ct. Severe emphysematous changes are noted in bilateral mid lung regions. There are no visible micro or macro nodules within the lung parenchyma. The hilar, cardiomediastinal, and pleural surfaces are normal. There are no acute bony abnormalities nor fracture.
<unk> year old man with hx met prostate cancer. r/o metastatic disease to lungs. hx lung infections // pt with hx met prostate cancer;to start new treatment. r/o metastatic disease to lungs. hx lung infections
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Cardiomediastinal silhouette and hilar contours are normal. Biapical pleural and parenchymal scarring is unchanged. The lungs are otherwise clear. There is no pleural effusion or pneumothorax.
history of left pneumothorax, now with recurrent left thoracic pain.
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Pa and lateral views of the chest are compared to previous exam from <unk>. Lungs are clear of focal consolidation or effusion. Cardiomediastinal silhouette is normal. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with dizziness.
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The heart is mildly enlarged. Mediastinal and hilar contours are within normal limits. The pulmonary vasculature is normal and the lungs are clear. No focal consolidation, pleural effusion or pneumothorax is seen. Multilevel degenerative changes are noted in the thoracic spine.
lower gi bleed, cough.
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Ap upright and lateral views of the chest provided. Lungs are hyperinflated. A calcified granuloma projects over the left mid to upper lung as on prior. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.
<unk>m with fall
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No focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. The heart size is normal. Mediastinal contours are normal. No bony abnormality is detected.
cough.
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The cardiac, mediastinal and hilar contours are normal. Lungs are clear and the pulmonary vasculature is normal. No focal consolidation, pleural effusion or pneumothorax is visualized. Ossification of the anterior longitudinal ligament is re- demonstrated.
lethargy.
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The lung volumes are low. The cardiac, mediastinal and hilar contours appear stable. Streaky opacities at the left lung base suggests minor atelectasis. Trace pleural effusions are suspected bilaterally. There is a small quantity of free air beneath the left hemidiaphragm although not necessarily significant in the early post-operative course.
abdominal pain and hiccups. status post abdominal surgery.
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No focal consolidation, pleural effusion, or pneumothorax is seen. Mild pulmonary vascular congestion is noted. The cardiomediastinal silhouette is stable. Redemonstrated are unchanged healed left posterior rib fractures.
chills and hypertension.
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Pa and lateral views of the chest were obtained. Moderate cardiomegaly is again seen. The mediastinal and hilar contours are stable. There is a small right pleural effusion. There is no pneumothorax. Lungs are clear. Cephalization of vessels is compatible with mild fluid overload, similar compared to the prior study. Again noted are tenodesis screws in the right humeral head.
dizziness in a patient with systolic heart failure, latent tb, end-stage renal disease on dialysis.
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The lungs are clear without consolidation, effusion, or edema. The cardiomediastinal silhouette is stable. No acute osseous abnormalities.
<unk>f with sob // eval for pna
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The cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. The lungs appear clear.
cough and facial cellulitis.
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Pa and lateral views of the chest demonstrate well-expanded and clear lungs. The heart is mildly enlarged and cardiomediastinal contour is stable. There is no pleural effusion or pneumothorax. Surgical clips are again noted in the upper abdomen.
<unk>-year-old woman with chest pain and shortness of breath.
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Lung volumes are slightly low. There is no evidence of pneumonia. The cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. There is no pleural effusion or pneumothorax.
history: <unk>m with wbc=<unk>.<num> and low-grade temp. // pna?
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Ap and lateral views of the chest were reviewed. Left chest pacemaker and leads are in unchanged position. There is stable moderate cardiomegaly. The mediastinal and hilar contours reflect severe right hilar and subcarinal adenoapathy shown on <unk> chest ct which also shows the right bronchial stent and the right lower lobe mass seen in the posterior sulcus on today's lateral view. Mild pulmonary edema and vascular congestion are new.
shortness of breath, query pneumonia.
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There is a moderate size right effusion with underlying atelectasis and/or consolidation. This is mildly improved from comparison study. There is a linear retrocardiac opacity in the left base which most likely represents atelectasis. This is unchanged from prior study. There is a mild left effusion. This is improved from prior study heart size is borderline enlarged. There is no evidence of pneumothorax.
<unk> year old woman with persistent cough // ? pneumonia or fluid overload
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The lungs are hypoinflated, accounting for some bronchovascular crowding. Vague opacity overlying the left costophrenic angle may represent atelectasis. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with dyspnea.
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The lungs are clear without focal consolidation. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are unremarkable. There is apparent mild compression of a lower thoracic vertebral body, seen on the lateral view, of indeterminate age. No prior lateral views of the chest are available for comparison.
history: <unk>m with htn, drug/etoh abuse, and htn with non-exertional cp x <num> day. // cp r/o
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In comparison with the study of <unk>, the cardiac silhouette remains at the upper limits of normal. However, no evidence of acute pneumonia, vascular congestion, or pleural effusion.
chf with dry cough and low-grade fever.
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The previously noted right internal jugular approach central line has been removed. A large bore dual-lumen dialysis catheter from a left internal jugular approach is in stable course and position with the distal tip projecting over the junction of the superior vena cava and a brachiocephalic vein. Lung volumes remain diminished. There has been significant improvement in the previously noted fluid balance with near-resolution of the pulmonary edema. Mild cephalized flow and interstitial prominence persists. No definite focal consolidation is seen. There is no effusion or pneumothorax. The osseous structures again reveal mild degenerative changes throughout the thoracic spine.
end-stage renal disease on hemodialysis via a left dialysis catheter with fever, bacteremia, and chest pain.
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There is mild interstitial edema. Heart size is within normal limits. There is mild prominence the pulmonary arteries, bilaterally. Probable trace bilateral pleural effusions. Osseous structures are unremarkable.
history: <unk>m with ?<unk> time seizure // please evaluate for acute abnormality
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There is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. The cardiomediastinal contour is normal. The osseous structures unremarkable. Multiple air-fluid levels are seen within nondilated loops of bowel in the upper abdomen, concerning for obstruction better characterized on same day ct of the abdomen and pelvis.
<unk>-year-old female with dyspnea, evaluate for pneumonia.
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Frontal and lateral views of the chest are compared to prior exam from <unk> and ct abdomen performed <unk>. Increased retrocardiac opacity particularly to the right of midline is compatible with large hiatal hernia. The lungs are hyperinflated but clear of confluent consolidation. Blunting of the posterior costophrenic angles is compatible with tiny bilateral effusions. There is no confluent consolidation. Cardiac silhouette is enlarged, similar to prior. Median sternotomy wires again noted. Osseous and soft tissue structures are unremarkable.
<unk>-year-old female with shortness of breath. question acute cardiopulmonary process.
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Compared to the prior film, there has been slight improvement in chf findings. Otherwise, i doubt significant interval change. Again seen is a left subclavian central line with tip over distal most svc. There is cardiomegaly, possibly slightly improved. The cardiomediastinal silhouette is otherwise unchanged. There is upper zone redistribution, but without other evidence of chf. Minimal patchy opacity at the right base is improved. Minimal linear atelectasis the left lung base is also seen. Left hemidiaphragm remains elevated. Pleural thickening along the left chest wall is again noted. Probable azygos lobe in the right upper zone.
<unk> year old woman s/p l thoracotomy, l upper segmentectomy complicated by pa injury // interval change, please evaluate
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Pa and lateral views of the chest. Vague opacity in the left mid lung may represent residual of prior pneumonia. Heart size is normal. The cardiomediastinal and hilar contours are normal. There is no focal consolidation, pleural effusion or pneumothorax.
shortness of breath for many weeks, evaluate for mass or infiltrate.
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Frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. The lungs again demonstrate bibasilar atelectasis, but are otherwise clear. There is no pleural effusion or pneumothorax. Incidentally noted is an imcompletely imaged distended loop of colon measuring up to <num> cm, superimposed above the liver.
hiv and hcv cirrhosis with hyperbilirubinemia. evaluate for consolidation, edema, or effusion.
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The cardiac, mediastinal and hilar contours appear stable including mild cardiomegaly with a left ventricular configuration to the heart shape. The lungs appear clear. There are no pleural effusions or pneumothorax. Mild degenerative changes affect the lower thoracic spine, as before.
chest pain.
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There is no pleural effusion, pneumothorax or focal airspace consolidation. The cardiac and mediastinal contours are normal. There is likely an epicardial fat pad. Orthopedic hardware is seen within the right shoulder.
new onset dyspnea upon exertion. evaluate for cause.
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The cardiomediastinal silhouette is normal. There is no pleural effusion or pneumothorax. There is no focal lung consolidation. No acute osseous abnormality is seen.
<unk> pod <num> ortho procedure (lle), now fever, evaluate for pneumonia..
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Pa and lateral chest views were obtained with patient in upright position. Comparison is made with the next preceding chest examination of <unk>. Heart size, mediastinal structures, and thoracic aorta are unchanged in appearance. Pulmonary vasculature not congested. The previously identified multiple scattered patchy infiltrates in the left upper lobe area have resolved. Presently, there is no evidence of any acute new parenchymal infiltrates. Pleural spaces remain free. Comparison of lateral views also confirms disappearance of the previously described patchy infiltrates.
<unk>-year-old female patient status post pneumonia, treated with levofloxacin. questionable left upper lobe pneumonia on latest chest examination, now with resumption of cough and sputum, possible other pneumonic process.
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As compared to the previous radiograph, there is a very subtle but noticeable increase in interstitial structures. This is particularly evident on the lateral radiograph, rather than on the frontal image. Given the clinical presentation of the patient, ct should be considered to further evaluate these changes. No acute change is seen. No pleural effusions. No pulmonary edema. No pneumonia. At the time of dictation, <time>, on <unk>, a note was put on the radiology dashboard.
increasing dyspnea, evaluation.
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Patient is status post median sternotomy and cardiac valve replacement. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No pulmonary edema.
history: <unk>m with near syncope, possible angina, cardiac and renal disease // acute cardiopulmonary process, pulmonary edema
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The heart size is at the upper limits of normal but similar to prior study. The mediastinal contours again demonstrated a tortuous aorta. There continues to be a moderate left pleural effusion with associated left basilar consolidation. No new consolidation or edema is present. There is no pneumothorax.
<unk>-year-old male with syncope.
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Frontal and lateral views of the chest. Relatively low lung volumes are seen. Subtle increased reticular opacities at the periphery of the lungs at the bases, right greater than left is compatible with chronic changes identified on prior ct scan. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormalities. No free intraperitoneal air below the diaphragm. Dilated loops of bowel are seen in the abdomen as demonstrated on concurrent abdominal films.
<unk>-year-old female with vomiting, constipation and malaise. question infection.
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The size of the heart is difficult to assess owing to low lung volumes and overlapping soft tissue contours. The aorta is moderately tortuous with calcification along the arch. There is suggestion of mild central congestion but no focal opacification. There is no pleural effusion or pneumothorax.
hypoxia.
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Left anterior chest wall icd leads project over the right atrium and right ventricle. Low lung volumes accentuate the cardiac silhouette and pulmonary vasculature. Heart size is moderately enlarged. Cardiomediastinal silhouette and hilar contours are otherwise normal. Lungs are clear. No evidence of fluid overload. Pleural surfaces are clear without effusion or pneumothorax.
chest pain.
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Heart size is normal. The mediastinal and hilar contours are normal. The pulmonary vasculature is normal. Lungs are clear. No pleural effusion or pneumothorax is seen. There are no acute osseous abnormalities.
history: <unk>f with shortness of breath, chest pain, smoker
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There is a small consolidation of the mid right lung most consistent with atelectasis at the base of the right upper lobe. A more medial opacity in the right lung seen on recent ct scan on <unk> is not seen on this exam, however comparison is difficult. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are clear without effusion or pneumothorax.
history of aml. evaluation for infection.
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The lungs are hyperinflated but clear. Previously noted pleural effusions are no longer visualized. Cardiomediastinal silhouette is within normal limits. Prosthetic aortic valve and median sternotomy wires are again noted. No acute osseous abnormalities.
<unk>m with <num> hrs chest tightness, // r/o infection, mediastinal abnormalities
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The cardiomediastinal and hilar contours are within normal limits. There is a right-sided port-a-cath which terminates in the lower svc. Streaky opacities in the left lower lobe likely reflect known bronchiectasis (as seen on prior ct chest). There is a new streaky opacity in the retrocardiac region which given bronchiectasis in this region raises concern for bronchial mucoid imaction though atelectasis/pneumonia cannot be excluded. There is no large pleural effusion or pneumothorax. Visualized osseous structures are unremarkable. Known nodules from metastatic rectal cancer is incompletely evaluated on this exam.
history of confusion. please evaluate for cardiopulmonary disease.
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Frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. The lungs are clear. There is no pneumothorax, vascular congestion, or large pleural effusion. Limited view of the left shoulder does not demonstrate gross abnormality. Patient is status post c<num>-<num> anterior cervical fusion.
<unk>-year-old female with chest pain and left shoulder pain. question cardiopulmonary pathology.
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The lungs are well expanded and clear. Cardiomediastinal and hilar contours are unremarkable. There is no pleural effusion or pneumothorax.
<unk>-year-old female with chest pain and shortness of breath with decreased breath sounds in the right base. evaluate for pneumonia.
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Lung volumes are slightly low. Heart size remains mildly enlarged. Mediastinal and hilar contours are unremarkable. Pulmonary vasculature is not engorged. Lungs are clear. No pleural effusion or pneumothorax is present. No acute osseous abnormality is detected.
history: <unk>f with shortness of breath
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Pa and lateral views of the chest provided. There is mild right basal atelectasis. Otherwise lungs are clear. No pneumothorax or effusion. Cardiomediastinal silhouette appears normal. No displaced rib fracture. No free air below the right hemidiaphragm peer
<unk>f with left rib pain after coughing // r/o rib fracture
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Heart size is normal. Cardiomediastinal silhouette and hilar contours are normal. Millimetric density at the left lung base has no lateral correlate and likely represents a calcified granuloma. Lungs volumes are low but otherwise clear. Pleural surfaces are clear without effusion or pneumothorax. Surgical clips project over the left upper quadrant.
new onset chest pain radiating to left arm and neck.
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There are bilateral deep brain stimulator generators and leads extending into the neck and out of the field of view. The lung volumes are low. There is a small round opacity in the retrocardiac region, concerning for a small pulmonary nodule. There is no consolidation, pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Mitral annulus calcifications are noted.
altered mental status. evaluate for pneumonia.